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Centene

Runs government-backed health insurance plans

Care Management Support Coordinator 2

Clinical Support & Patient AdministrationPosted on Nov 12
Full-timeIowa, USANo salary listed

About the Job

Requirements

  • A high school diploma or GED is required.
  • One to two years of related experience is required.
  • Candidates must be able to work remotely from within Iowa.

Responsibilities

  • Provide phone outreach to members about care-plan next steps, community or health-plan resources, scheduling questions or concerns, and ongoing education for members and providers throughout care or service.
  • Connect members with health-plan and community resources to support high-quality customer service.
  • Apply working knowledge of assigned health-plan activities and resources as appropriate.
  • Respond to member and provider inquiries, requests, and concerns, including explaining care-plan procedures and protocols.
  • Support member onboarding and administrative duties, including sending welcome letters, correspondence, and program educational materials.
  • Document and maintain non-clinical member records in accordance with state and regulatory requirements, and provide records to providers as needed.
  • Use knowledge of local benefits and resources to make referrals addressing Social Determinants of Health needs.
  • Comply with applicable policies and standards and perform other assigned duties.

Desired Qualifications

  • Medicaid waiver experience is a plus.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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